Women Health. 2001;33(1-2):163-80. doi: 10.1300/j013v33n01_10.
This study examined both the direct and indirect associations between unwanted sexual activity during childhood and HIV-related sexual practices of adult women. The sample consisted of 3,346 women recruited from sexually transmitted disease (STD) clinics and health service organizations. The findings demonstrated that participants who reported unwanted sexual activity as a child (USC) were more likely than women who did not report such experience to indicate that they had problems with alcohol, used drugs, received money or drugs in exchange for sex, had unwanted sex, and used mental health services. The women reporting USC also noted a greater number of unprotected sex acts, a greater number of partners, and a greater proportion of sex acts accompanied by drugs or alcohol in the past 90 days. Mediated analyses showed that drug use, exchange of sex for money/drugs, unwanted sex, and to a lesser extent, problems with alcohol mediated the relationship between USC and unprotected sex acts, number of partners, and sex under the influence of drugs and alcohol. These findings suggest that participation in non-sexual risky behaviors among women who report USC may be a bridge to participation in sexual behaviors that increase their risk of HIV infection.
本研究考察了童年期非自愿性活动与成年女性艾滋病相关性行为之间的直接和间接关联。样本包括从性病诊所和卫生服务机构招募的3346名女性。研究结果表明，报告童年期有过非自愿性活动（USC）的参与者比未报告此类经历的女性更有可能表示自己存在酗酒问题、使用过毒品、以性换取金钱或毒品、有过非自愿性行为以及使用过心理健康服务。报告有USC的女性还指出，在过去90天内，她们有更多的无保护性行为、更多的性伴侣，以及更大比例的性行为伴有毒品或酒精。中介分析表明，吸毒、以性换取金钱/毒品、非自愿性行为，以及在较小程度上，酗酒问题在USC与无保护性行为、性伴侣数量以及在毒品和酒精影响下的性行为之间起到了中介作用。这些研究结果表明，报告有USC的女性参与非性风险行为可能是她们参与增加感染艾滋病风险的性行为的桥梁。
